494 LORING AVE - BUILDING INSPECTION (3) APPLICA ION FOR
' PERMR' TO "
LOCATION
Ljf
PEgMIT GRANTED
30104119
APPROVfD
INSPECTOR F BUILDINGS _ - � '
CERTIFICATE OF OCCUPANCY
YES
NO
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i
DATE:—?
�itp OA�PITC, AALUEtt�
3
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Location of Building qq/4 I_000q fiyenc
Building Permit Application For:
Circle whichever applies) Roof, Reroof, Install Sid' ct Deck, Shed, Pool
Addition, Alteratio , epair/Replac , Foundation Only, Wrecking
Other:
PLEASE FILL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING
To the Inspector of Buildings:
The undersigned hereby applies for a permit to build according to the following specifications:
Owners Name: P(l11tgX IIGI Contractor: Q h r; s t n nh a r 7.n r 7;z
Street N974 L2C" &y CCit}-SCL16M . Street115 North StraPtCity Ratam
State.MP Phone 0-19_7,gI-LL5�?S State MA Phone(978) 741 -0424
Architect: City of Salem Lick 14 0 5
Street City State Lic#057733 HIP# 101609
State Phone ( ) Homeowners Exempt Form_ yes_no
Structure: (please circle) Ingle F mr Multi Family# Other
Estimated Cost of job $5t ri wo I W
Will building confirm to law?-,,—/ yes no
Asbestos?_yes 1/ no
Description of work to be done: I Y4ee'n Vlf�w t ✓P_ / �( P{y)p/1
UJlIY�Ow�_
SERVICES
Drawing ubmitted:_yes no Mail Permit to: 115 NORTH STREET
X SAT-R rr m-0.
A:876
,. .
X
Signature of Appli ation,SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX (6)MONTHS OF PERMIT ISSUED DATE
Department use only: Permit# Zoning Map/Lot
Permit fee S
CONMENTS:
,
The Commonwealth of Massachusetts
Department of Industrial Accidents
0//%BO/%YOsUl8U09S
600 Washington Street
Boston,Mass. 02111
Workers'Compensation Insurance Affidavit
name:
location:
city phone q
❑ 1 am a homeowner performing all work myself.
❑ I am a sole proprietor and have no one working in any capacity
❑ I am an employer providing workers' compensation for my employees working on this job.
A & , A 'Services
comoanrname: , Inc.
address: 115 North Street •i,kc klb+rr ' ' ^ ,
city: Saleiu", 'MA 01970 nhoneq• 978-741 0424klw '"`a�{ Ysg` ➢ `
insurance co. The Tra elers policy WC939X1256
❑ 1 am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who
have
the following workers' compensation polices:
company name• y4� t
address: _ !i�iititt
city: c., hineq:
immranceco , 4
company name: :1'`
Mu
r12
address
` ter t+;�'�41.'a".• .:'i;ia
city: . =i. ., 'hone q:
insurance co. . poll' q
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties arm fine up to s1,500.00 and/or
one years'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
t do hereby ceerrflfy a the p Ins and pe�es of perjury true the Information provided above is t}ue and correct,
Signature_ / t, f/J Date
Printname Christopher Zorzv, President jlhonc# 978-741-0424
o
fficial do not write In this area to be completed by city or town official
permittlicense q n1luilding Department
ediate response is required ❑DeemingBoard
QSeleetmeo s OIDee
❑Heslth Department
phone N; f'lOther
DISPOSAL OF DEBRIS AFFIDAVIT
In accordance with the provisions of M. G. L. c. 40, Sec. 54; a condition of
Building Permit Number is that the debris resulting from this work shall
be disposed of in a properly licensed facility as defined by M. G. L. c. 119, Sec.
150a.
The debris will be disposed at: Salem Transfer Station
owned by Northside Carting -
Sid6iturg of Pe it Applicant
Date
Christopher Zorcv
Name of Permit Applicant
A_&A Services, Inc.
Finn Name
115 North Street. Salem, MA 01970
Address, City, State, Zip Code
U-VALUES AND R-VALUES
ENERGY STAR
MARVEv•N�L/STRIES Harvey Manufactured PARTNER j
�• Windows and Doors
WHOLESALE PRICING
• U-Values in accordance with NFRC-100 • Based on residential sizes Aft
• U- and R-Values are subject to change without notice • Whole window values
All Harvey vinyl windows with Low-E/Argon and all Majesty double hung windows with RON
Low-E/Krypton qualify for the ENERGY STAR° program throughout the U.S.*
Clear Insulated Low-E* Low-E(Argon*
VINYL WINDOWS U-Value R-Value U-Value R-Value U-Value R-Value
Classic Double Hung (Mechanical) 0.50 2.00 0.37 2.70 0.34 2.94
Classic Double Hung (Welded Sash) 0.50 2.00 0.36 2.78 0.33 3.03
Classic Double Hung (Welded Sash & Frame) 0.49 2.04 0.36 2.78 0.33 3.03
Classic Acoustical Double Hung STC40 0.23 4.35 0.18 5.56 0.17 5.88
Signature Double Hung (Mechanical) 0.50 2.00 0.37 2.70 •0.34 2.94
Signature Double Hung (Welded Sash) 0.50 2.00 0.37• 2.70 0.34 2.94
Slimline Double Hung (Welded Sash) 0.51 1.96 0.38 2.63 0.34 2.94
Slimline Double Hung (Welded Sash & Frame) 0.50 2.00 0.38 2.63 0.35 2.86
Slimline Single Hung (Welded Sash & Frame) 0.50 2.00 0.38 2.63 0.35 2.86
Vinyl Casement/Awning 0.47 2.13 0.34 2.94 0.31 3.23
Vinyl Casement/Awning and Thermal Panel 0.31 3.23 0.25 4.00 0.24 4.17
Vinyl Designer Shapes 0.49 2.04 0.34 2.94 0.30 3.33
Vinyl Hopper 0.47 2.13 0.35 2.86 0.32 3.13
Vinyl Picture Window 0.46 2.17 0.31 3.23 0.28 3.57
Vinyl Welded Deadlite 0.50 2.00 0.34 2.94 0.31 3.23
Vinyl Roller- 2 Lite and 3 Lite 0.50 2.00 0.36 2.78 0.33 3.03
Clearinsulated Low-E* Low-E/Argon*
VINYL NEW CONSTRUCTION WINDOWS(Pg190-231) U-Value R-Value U-Value R-Value U-Value R-Value
Vicon Double Hung (Welded Sash & Frame) 0.50 2.00 0.37 2.70 0.34 2.94
Vicon Single Hung (Welded Sash & Frame) 0.50 2.00 0.37 2.70 0.34 2.94
Vcon Classic Double Hung(V1lelded Sash&Frame) 0.49 2.04 0.36 2.78 0,33 3.03
Vicon Casemept/Awning 0.47 2.13 0.34 2.94 0.31 3.23
Vicon Picture Window 0.47 2.13 0.32 3.13 0.28 3.57
Vicon Designer Shapes 0.48 2.08 0.32 3.13 0.29 3.45
Temp.Clear Temp Low-E Temp.Argon
PATIO DOOR (pg 257.260) U-Value R-Value U-Value R-Value U-Value R-Value
Harvey Solid Vinyl Patio Door 0.49 2.04 0.40 2.50 0.37 2.70
Low-E/Argon* Low-FJKrypton*
WOOD WINDOWS (pg 261-270) U-Value R-Value U-Value R-Value
Majesty Double Hung N/A N/A 0.35 2.90
Majesty Fixed Casement(PW) 0.37 2.70 N/A N/A
Majesty Casement/Awning 0.42 2.38 N/A N/A
Majesty Picture Window (DH) 0.34 2.94 N/A N/A
'The use of tempered Low-E glass may effect ENERGY STAR®qualification in your region.
U- and R-Values are subject to change without notice.
Not all products stocked at all locations. Call your local branch for availability.
Pricing and information are subject to change without notice&may vary from region to region.
For current pricing,call your local branch or visit www.harveyind.com.
J:flec6ve 3/17l03 - 25R
.`. Board of 6nildinR Regulations and tiouulards
�} vtlj HOME IMPROVEMENT CONTRACTOR
l Registration: 101609
Expiration: 6/26/2006
Type: Private Corporation
-- A&A SERVICES, INC
Christopher Zorzy
115 North Street � � ✓
Salem,MA 01970 Administrator
r Commonwealth ._ —._._._
of Massachusetts
Division of Occupational Safety
Robert J.Prezioso,Deputy Director
Deleader-Contractor
CHRISTOPHER ZORZY
Eff.Date 12/19/03
Exp. Date 1220/04 s
DCW0440
WMI) Of C.O.N.E.S.T. �
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BOARD OF BUILDING REGULATIONS i -
;.j License: CONSTRUCTION SUPERVISOR {
Number: CS 057733
Birthdate: 05/26/1958
h
Expires: 05/26/2005 Tr.no: 12224
Restricted: 00
z' CHRISTOPHER ZORZY zz�, / -
115 NORTH ST «
SALEM, MA 01970 Administrator